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042-030-088
A.P. 42-3-' S LCIS BRIDGEMAN �'f� 3�1 i9 f.•. _corner of Cuss ck & Bell Rds. it 128-74B, E (convert carport - to rumpus room) AP Perini �) 825-75B (1 st RENEWAL -128-74) 42-03- �15 l/ NEW OWNER b MIKE LATHAN Ol� SW cor Bel Cussick°Rd, Chico Permit#4517-79B(reroof) SF 042-030-088. PERMIT#96-0873 LATHAN, John & Nancy 26 Bell Ct., Chico Cont: Care -Free Pools % ,Q New Pri Swimming Pool �!/ 042-030-088. PERMIT#96-10 4• LATHAN, John 26 Bell Ct., Chico �!� q Change LPG.to Natura Gas/SF 042-03-0-088 96-2208 P _ LATHAM, John/Nancy 26 Bell Court, Chico (cony garage to SF ad it & e _garage) I 0 () 4;? 0 . 41 3 l 0 () 4;? 0 . 41 3 m� RESIDENTIAL 0.42-03-0-088 96-2208 BPEM LATHAM, John/Nancy 26 Bell Court, Chico (conv garage to SF addit & new garage) i OFFICE COPY Address zb i/ GC C7— GAS 7GAS i Meter By Date ELECTRIC �j Meter By_E Date2-iy,47 JOB FINALED (D te) Signature V=OK 0 = Not OKNot ` •=Not Ready MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer, Location -Test -Fall -C/0 -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / / tL / /Nat. or/ /"L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Sine-Spacing4Aamage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 1 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils-Size-Dep"pacing-ConnectorsSteel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh co -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts -GA 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5'-Circulatlng Equip. -Heater 8. Elec.; Grounding; Equip. w/B Circulating Equip. -Pool Lghtq. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable * = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. ning-Setbacks-Easments-Flood-Slope 2Soils-Elec. Gmd.-�' Ftg. Depth ., ,3e+rg-. Garage; Soils-Steel-Elec. rnd/ P' Ftg. Depth 4. FqYorches & Decks; Soils -Steel-/ P Ftg. Depth Stemw_alls, Main; Steel-Blockouts4Nrapped emw IIs, Garage; Steel-Blockouts-Wrapped old Downs and Special Anchors ab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins, 14. Girders -Sills -Anchor Bolts -Joists Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card E-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection W.V.; Test Fittings & Anchor -Nail Protection Shower Pan; Test, First Floor -Tub Access 1 T st Tub & Shower, Second Floor -Tub Access 2 as Pipe; Sixe & Anciors Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. Fixture & Transformer Clearance -Ins. Protection 24. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled of 26. Romex Installed Close to Edge of Studs & 27. Equip. Ground made up w/Mech Fastn and Gas & Wat r 28. 2 Appliance Circuits in Kitchen & Conduc Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al 30. Ranee Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al V Insulated Neutral 0 Yes 0 No 31. Service -Riser Conductors & Ground -Main Disconect 32. Equip. Clearances Panels-Motors-Mech. Epuip. 33. Clothes Closet Light -Shower Light -Spa Light 34. Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Condensate Drain & Overflow, Size & Grade 38. Furnance-Vent Access -Comb. Air -Return Air Vent 115 outlet -�F- 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Sits Proper Materials & Anchors IIs Studs -Nailing Spacing & Braces -Plates -Sound YK.Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat prool) 44. - Fire Stops, Furred Ce lings-Stairs-Chasers-Tubs 45. Headers & Beams -Size & Bearing RESIDENTIALISingle & Duplex) Date _/ FRAMING (Continued) Hangers -Post Caps -Anchors -Connectors 47`1511ing. Joist-Rftr. Ties-Pullin-roff Brac: Truss-Shting: Rfng. -,r4W."Ffreplace Ties or Type A Flue -Fireplace Throat clearance -i9-ftttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles A-'SO"Bdrindows or Exiting Doors -Sill Hgt. & Dimensions %,-15a-rage Fire Protection Framing --62'11'roperty Line Firewall & Openings -v`o-Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits �- d�Stair Width -Headroom -Rise -Run -Landing -Fire Protection 5,tlywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing Veneer tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access to Z ea -Glass Protection-Skvliahts-Plastic shear Walls; Nailir 60. BSace Wall Panels Date r Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Ext Steps -Door & Sidelight Protection -Landings moke Detector 6&r"Fu-mace; Vents -Clearance -Comb, Air-Conector- In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 6.1. & Bath Fixtures & Tub Access -Spa ec. Trim & Subpanel, Breaker Sizes & Labels fairs & Rails �L2 tove, Clearance -Hearth 7 . lec. Outlets at Wood Panel, Int. & Ext. Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance Elec. Outlets & Rece ticales at Kit. Counter Garage Fire Door; Swing -Landing -Closure 7Z-'A'C. Duct in Garage -Damper tr. Htc; Vents -Clearance -Comb. Air Connector-P.R.V. In age; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 78- Elec. Receptacles in Garage G.F.I. -Romex Protection 79 -Foam -Looked in Attic _ 190--6 eck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth CleWance Looked under Floor 0 Yes 82"F�o-ing Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No St co Brown -Finish A&URit'Disconnect, Electrical -Plumbing Vs -'Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 815P-W�Disconnect, Electrical, Plumbing ✓te ' r Elec. Trim, G.F.I. Receptacle -Underground . Venti ' rought House lass Protection rections from Previous Inspections M--GaoJ@eI4AeWs Tagged, Gas -Electric Tprer onnected-C/O to Grade -HD Approval Compliance Certificate -Other Certificates on 4 Date'Card Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVISION 7 .County Center Drive - Oroville, California -95965 - Telephone (916) 538-754 / � a P FiM0. APPLICATION AND PERMIT (p ASSESSOR PARCEL NUMBER 042-030-088 ZONING SR1 BUILDING PERMIT OWNER JOHN & NANCY LATHAN TELEPHONE 345-4982 SQ. FT. OCC. BUILDING VALUATION 260 U 5,200 OWNERS MAILING ADDRESS 26 BELL CT CHICO 239.25 R 12 919.5 CONTRACTOR'S NAME OWNER TELEPHONE 7Y CSGt7 TT T l •p �� 00 lJ CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 278.00 ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $' .- 181.00 Energy Plan Checking Fee 2 3.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ` BUILDING ADDRESS 26 BELL CT, CHICO PERMITFEE 'S 502.00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 15.00 USEOFSTRUCTURE SF)b Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other X3 Describe Work: CONVERT GARAGE TO SF, SF ADDON & NEW GARAGE - Mobile Home S G W @20.00 PERMITFEE $ 65.00 Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service ( 2000A A OR LESS OR LESS ) 23.00 X4yy23 . 20 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law dor the following reason: fid' I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SD OR ADDNS. ( & ACC. BUDS. ) 3.50 FT. 37.63. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 APPARATUS ) ( 8 SINGLE LE OUTLET CIR. Ex. Occup. (OUTLET OR FOCTURES ) 20 @ 1.00 BAL .00 Ex. Occup. (oFIXEED PESD.OR 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ 80,63 Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing 9 Fee 20.00 Heating DUCT 15.00 Cooling Hood 6.50 Ventilation PERMITFEE $ 35.00 Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the wor compensation provisions section 3700 of the Labor Code, I shall rthwit com ly with �t s 2whs. - - X Date Signatur p t- Ow r o c or ❑ Agent An -O permit is required for excavations over SO" deep and d molition or construction f uctures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ 46.00 Occ CONST. TYPE I TOTAL TEE $ 728.63 HAZ EES Irl FL o , CD PARC HD LWUP This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By Date PERMITEXPIRESONzy�HITE-D.D.S.-B.D. (Date) fReceiptNo.206181 CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT E.H. USE ONLY Plat PI= AtmchW 2.S" Fl. PI= AmecW eJ` Scat to E.D. /O-ZPI l 1 TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance G- ATL/fa Al ZG ,Bhu. L -r. gz - a3o - 088 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for . Other 3 car ��✓asP� Hold final for: Final clearance O.K. for: NOTE: Environ ental Aealth Specialist Date 8/92 ts o3cf-i i COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET r-- t OWNER �`� rti--= No. Proposed Building Use r s 0J) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted . ........................................ 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... �a!�eomplete plans, 3/4 sets, signed by preparer of plans . ............ : ........ 4' Engineered plates and calcs, 3/4 sets, with wet signature on plans. . 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . ......... ......... . 7. Statement of Intent for Non -Heated and A/C Buildings . ..................... . . Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Fees of $ . .......... . 1 mpact fees as shown on attached schedule..�Ir-... 4. �.� .................. . 1 . California Department of Forestry plan approval/fees............... . 13. Flood elevation letter (100 year floo�,.)r) kap California Engineer.. . 14. Sanitation and plot plan approval tw Health Department.v- 15. City of Chico plumbing permit.................................�...... . 1 Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for required. .. o Building Inspector , (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ l 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . .......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. .:............. 31. Existing violations/expired permits . ...................................... 32. Plan check list . ...................................................... 33. 34. When you issue the permit, process as follows: Mail to o n r. Mail to contractor. Telephone and hold for pickup at / G U office. Deliver with inspector. Other Parcel -Creation Acreage Applicant 77 Date Copy of Haz-Mat form sent Health Dept. ,Fire Dep Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior topermit i uan le new' em not checked above). 1. Index permit for above items No. Oa/ t 2. Additional items required: Contractor, designer, owner, was advised of above required data by hone _ mail Coun er by ZJKDate / Contractor, designer, owner, was advised of above required data by _phone _mail - XotAter by _Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works . . BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM . (One Form Per Building) School District C n Building Department No. A.P. Number DMZ — 036 -QQP Jurisdiction: City O�County Property Owner���} �v Property Location/Address CLIC L7- C Subdivison _ Lot No. Residential Development0 Sq. Footage No. of Living MHI Addition (Group R) Units Commercial/Industrial (Floor Plans reviewed by School District Personnel) Sq. Footage (Including Exterior Roofed Areas) .5-2y- F6 Date District Identification No. AM 0 U6 40 School District certifies that (Applicant) (Street Number) (City) . (State) (Zip Code) has complied with the requirements of Resolution No, (a fes' (,? by payment of $ ' representing School rese IJ square feet. AB 2926 $ FULL MITIGATION $ �6 Date Paid by Check # /() Remarks: odu,& Bank Number �� O Paid by Cash If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. 4 White (applicant), Yellow (building department), Pink�(school district) feeform:wkt (11/94)dmm COUNTY OF BUTTE BUILDING DIVISION j DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA -"0(04"r'67#91-2751 7 County Center Drive, Oroville, CA - (9161' 538-7541 747 Elliott Road, Paradise, CA ` (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. - A routine inspection indicates that the following violations of Butte County Ordinances:exist at the above address and should be corrected. Please notify this office when correctio o work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. �� .� �J o �,� TD r -c. � /-C WA,41 %'t) 6;�" ro1i711voLj r%Cv -- ir- COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SgRVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE J/ OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinand W 01 -at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. !off/ Oda 000f� 1,00v7 rZI 1/ -.5 C) 6C Voawo '0(yot o A=T- V 4- -5, 77— 1 Pro Lx 0 /L U- wt4l N M COUNTY OF BUTTE BUILDING DIVISION < '•'DEPARTMENT OF DEVELOPME,NT'S€RVI.CES 1469 Humboldt Road, Chico, CA (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 { CORRECTION NOTICE -zZo 8 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. h REV 1U/9Z � W� A =1 R1 I ITUT -7 PA A- F 1 A Certificate formanceon G.. Certificate 3-7707 THE UNDERSIGNED MANUFACTURER HEREBY CERTIFIES that the structural wood products identified , 3ntified below and marked with - a. collective mark of American Wood Systems (AWS) were manufactured in accordance with the specifications indicated 1 below. N� ANSI Staridard,A1`90.1-1992, for Structural Glued Laminated Timber 0- 0 Pr".')O-L 1.(_-),-DJ.cd enid Job Name I .. WESTERN W0068 Job Location' Cbstomer's Order No. CIA I. C 0 CA -.0 5 9-29 (3) 2409,2"73 . 'Date Mfgr's Order 57_. 4 /1 101 kl-jr - SignatureAn'.-' Title .1ec1j)ni0*-aJ D..Lr, 0 1;0r Company, anle Ind- Address Vaugl-in. 0.regon Date /Wei IT IS HEREBY CERTIFIED that the structural 'glued laminated timber production of the above- named manufacturer which carries a collectiVe'metrk of American Wood Systems (AWS) is, subject - to, ; regular audit by American Wood Systems, such audit consisting of the inspection with) reasonable frequency of the manufacturing process, s, with adequate sampling to verify the quality-of, - glulam construction and the adequacy of glue bond. - , 11 k hi n n ,4tA N VPOR4*'-. Cnw_ ..0 SEAL. V 4 ....... SHIN 'Thomas G. Williamson.' Executive Vice President AMERICAN WOOD SYSTEMS - A RELATED CORPORATION OF APA , u Insulation Certificate ... �'`. BUILDING OWNER: 1V1k- t' t,'k-f%-44 ' "` BUILDING PERMIT #: �" Z BUILDING LOCATION: (DCQ-t/`/YL� Description of Installation ROOF : y Material Brand Name &L -1j1/ Thickness (inches) Thermal Resistance (R -Value) g' CEILING Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R -Value) Loose Fill Type "Brand Name Contractor's minimum installed weight/ftlb Minimum thickness inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) EXTERIOR WALL Material Thickness (inches) RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) FOUNDATION WALL Material Thickness (inches) Declaration -Brand Name C C Thermal Resistance (R -Value) Brand Name 'Thermal Resistance (R -Value) M. Brand Name Thermal Resistance (R -Value) i Brand Name Thermal Resistance (R-Vaiue) ' I hereby certify that the above insulation was installed in the building at the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. License Number Dace License Number Signature and Title Date THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 Installation Certificate: Residential CF -6R BUILDING OWNER: BUILDING PERMIT #: BUILDING LOCATION: An installation certificate is required to be posted at the building site prior to the issuance of the occupancy permit. This form may be used to meet'these requirements. All appliance categories listed below are the actual equipment installed. Note that the efficiency and type of the appliance installed must be equivalent or better than the appliance specified on the Certificate of Compliance (CF -1 R). This certificate (or its equivalent) shall be prepared and signed by the person(s) assuming overall responsibility for the appliance installation. 1, the undersigned, verify that the equipment listed in the category above my signature is the actual equipment installed and that the equipment meets or exceeds the requirements of the Appliance Efficiency Standards. In addition, I have verified that the equipment is equivalent to or more efficient than the equipment specified on the Certificate of Compliance submitted to demonstrate compliance with the Energy Efficiency Standards for residential buildings. HVAC SYSTEMS Note: Hydronic boiler information is entered here. Other hydronic or combined hydronic equipment is listed under Water Heating Systems. Heating Equip. CEC Certifled Actual Distribution Duct or Heating Load Heating Type (furnace, Manuf. Make & Efficiency Type and Piping Before Over- Equipment heat pump, etc.) Model Number (AFUE, etc.) Location R -Value Sizing (Btuh) Capacity (Btuh) CEC Certified Cooling Equip. - Compressor Unit' Actual Distribution Duct or Type (air cond., Manuf. Make & Efficiency Type and Piping heat pump, etc.) Model Number (SEER) Location R -Value The building design heat loss and design heat gain rate have been determined using a method specified in Section 150(h) of the Energy Efficiency Standards, and are two of the criteria used for equipment sizing and selection. Signature Date HVAC Subontractor (Co. Name) or General Contractor or Owner WATER HEATING SYSTEMS Energy External Water Heating CEC Cartif led Rated' Tank Factor or Tank System Type Manuf. Make & Input (kW Capacity Recovery Standby' Insulation (storage gas, etc.) Model Number or Btuh) (gallons) Efficiency Loss (%) R -Value 1. For small gas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor. For large gas storage water heaters (rated input >75,000 Btwhr), list Rated Input, Recovery Efficiency and Standby Loss. For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency. Far Instantaneous electric water heaters, list Rated Input. FAUCETS & SHOWER HEADS All faucets and showerheads installed are listed in the Commission's Directory of Certified Faucets and Showerheads, pursuant to Titie 24, Part 6. Subchapter 2, Section 111. Signature Date Plumbing Subcontractor (Co. Name) or General Contractor or Owner THIS CERTIFICATE MUST BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AIM A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY'1993 �44 6, r� 0 RESIDENTIAL 042-030-088 PERMIT#96-0873 LATHAN, John & Nancy 26 Bell Ct., Chico Cont: Care -Free Pools New Pri Swimming Pool I V=OK O = Not OK •=NotRealdy MOBILE HOMES ` Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements - Setbacks - Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O -Concrete 4. Water, Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap; / 112ft. / /Nat. or/ /°L"ft./ /LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements- Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Tie Downs -Type -Installation Cert. 10. Exits; Insp.-Sketch 11. Cert of Occupancy Date Card B-1 Date 'Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; SoilsSize-Dep"pacing-Connectors-Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg: Rfg: Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sils-AnchorsStuds-Rttrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOL Plans OK except #'s . Se ks-Easements oils; Compaction -Structure Stability /3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distance-GFI 5. Elec.; Pool Lighting; 15 Volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal WS -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. H!2!t Department Approval 1kooflumb.; Cir. Test -Water Supply Test Llol+�lG j- Vo o `f-$ Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 J=OK O = Not OK = Not Applicable Not Ready , RESI DENTIAS (Single & Duplex) = Date UNDERFLOOR (Plans) OK except # s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped b. Jtemwalls, Garage; Steel-Blockouts-Wrappea ' 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Pienums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except a's 16. Water Htr.: Vent -Access -Combustion Air -Baffle 17. Water Pipe: Test & Anchor -Nail Protection --------- ------------------ --- ---------------------------------- -- - - 18. D.W.V.: Test -Fittings & Anchor -Nail Protection ------------------------------------------------ --- 19. Shower Pan: Test. First Floor -Tub Access ------------------------------------------------------------ 20. ------------------------ 20. Test Tub & Shower. Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ------------------------------------------------------------ ------------------------------------------------------------------------------ Date Card B-1 Cate Card B-1 ------------------------ ------------------------------------------ ---- ------ Date Card B-1 Cate Card B-1 Date ELECTRICAL (Permit) OK except a's 22. Fixture & Transformer Clearance -Ins. Protection ------------ ------------- ------------------------------------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors ----- --- ----- ------ - ------ ----------------------- - 24. Size Boxes & No. of Conductors -Stapled ---------------------------------..._._.... 25. Romex Installed Close to Edge of Studs & C.J. ---------------------------------------------- ----------------------------------. ... 26. Equip Ground made up w•Mech. Fastners-Bond Gas & Water -----------` --------------------------------------- ----- - ------ --. - -- 27. 2 Appliance Circuts in Kitchen & Conductor Size/GF1 -----------------------------------------........... -- 28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At ----------------------------------------------------- ----- ----------- .. 29. Range Circ. r , ga. Cu or AI -Oven Circ. r r ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No --- --- --------------------------------- ---..... .. 30. Service -Riser Conductors & Ground -Main Disconnect --------------------------------- -__.... ............... ........ .. 31. Equip. Clearances Panels-Motors-Mech. Equip. - ----------------- .._ _. ....... ....... .. 32. Clothes Closet Light -Shower Light -Spa Light -------------------------------------------------------- 33. Smoke Detector -------------- -------------------------------- . . .................... . . ....... .. Date Card B-1 Date Card B-1 - ----- ------ . - ._.. ............... ...... ..----_..... ... ... _.. ... ... .. Date Card B-1 Date Card B-1 Date MECHANICAL(Permit) OK except a's 34. A.C. Ducts Insulation & Support ------------------------------ -1 .- . - ........---- ............ ... 35. Vent Fan: Exhaust above.insulation ----------- -........ . .. .. ... ... .. 36. Conden=ate Dram & Overflow: Size & Grade - ....... ---....._..... ....................... .. .. 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet - --- -- .. ........... ... ... .. .... ... ... .. 38 Attic Access & Platform if Furnance in Attic --- .. .... ......... .. Date Card B-1Date Card B -I - -.---------.. ... ....... . ........... . Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except A s 39. Sils. Proper Material & Anchors ....... ... -- .. 40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound .... . - ... ... -. ------ ............. ...... .. 41. Bearing Walls over Girders & Floor Nailing _ .._.... ... ....... .__ . _................... . . . 42. Draft Stop in Walls (-at proof) ...... -- . -- ...... .- . .. ..... ._.. ... .. 43. Fire Stops: Furred Ceilings- Stags -Chases -Tub ..... _ ... _ _. .. 44. Headers & Beam -Size & Bearing Date FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors _ 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing -------------- 51. -------------51. Property Line Firewall & Openings ---------------------------------- - 52. Ext. Doors -One -T -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer --------------------------- ---- 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls: -Nailing -Bolts 59.- Insulation -Walls -Ceilings --------------------------------------- 60. Infiltration -Walls -Windows ---------------------- - -- - ------- ------ ------------------------------- -- Date Card B-1 Date Card B-1 -------------- Date -------------Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except ft's 61. Ext. Steps -Door & Sidelight Protection -Landings ---------------------------- 62. --------62. Smoke Detector --------------------------------------- - 63. Furnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor-Ducts-Mech. Protection ---------------------------------------- 64. ----------------64. Bedroom Exiting ... - - - - - ------------------------- -- 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------ ------------ --------- --------- - 67. Stairs & Rails ------ ----------------- ----------------------- 68. Fireplace or Stove: Clearances -Hearth ........ -------------------------------- 69. Elec. Outlets at Wood Panel: Int. & Ext. ..... ----------------------------------------- 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance _ .. - - ----------- ----------------------- -- 71. Elec. Outlets & Receptacles at Kit. Counter ...... ... ........ - ------------------------ 72. Garage Fire Door: Swing -Landing -Closer -- ----------------------------- - 73. A.C. Duct in Garage -Damper __.....------------------------------- ----- -- 74. Wtr. Hir.: Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage: Above floor-Mech. Protection .... ------------------------------- ---- 75. Plb.. Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection .. - - ----------------- 7,. Insulation -Foam -Looked in Attic ❑ Yes ---------------------------------------------------------- 78. Guard Rails & Deck Construction -Post Caps . _ ------------------------------------------------------- -- 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes ---------------- 80. Following instld�, Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No: Planters ❑ Yes ❑ No -----------------------------------------------------------81. Stucco: Brown -Finish -- _--_------------------------------ --------- 82 A C. Unit: Disconnect. Electrical, Plumbing -- --- --- --- ----------------------------------------- --- ----- 83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings ..... _ --- - - - - - ------ --------------------------- 84 Water Well: Disconnect. Electrical. Plumbing -------------------------- --------------- 85 Exterior Elec. Trim: G.F.I. Receptacle -Underground . ... . ..... .---- ------ --------------------------------- 86 Ventilation Throughout House -- - - -- - ------------------- 87 Glass Protection 88. Corrections from Previous Inspections - -- --------------------------------- 89 Gas Test -Meters Tagged: Gas -Electric .. . . ........ ... ...... ... - -- ---------- ---- ---------- 90. Water & Sewer Connected -C/O to Grade -HD Approval 91, Energy Compliance Certificate -Other Certificates -- -- ---- --------------- Date Card B-1 Date Card B-1 . .. ... ..... .... _...--------------- -------------- Date Card Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Comments at Final: COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville+, California 95965 - Telephone (916) 538-7541 PE MIT O. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER zONING��F ( BUILDING PERMIT OWNER JOHN & NANCY TATHAN TELEPHONE 345-4982 SO. FT. OCC. BUILDING VALUATION EST. 16 000 OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAIUNG ADDRESS Permit Fee $ 17 0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 23-00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ - BUILDINGADDRESS96 BELL CT, CHICO PERMITFEE $ 21 .00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SF M Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other Describe Work: XXMX MASTR;? 94-501 POOT, Mobile Home I S I G W @20.00 PERMITFEE $ 35 00 Contractor ELECTRICAL PERMIT Filing Fee 20.'00 Main Service e00V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A To 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license isA0 full force and effect. License Class r c -� Lic. No. �,f0 Sv9� OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. OR ACDNS. ( & ACC. ) SO. 3.50 FT. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7. @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES ( ) 20 Q 1.00 BAL .50 FIXED APPLNS. OR Ex. Occup. ( OUTLETS (RESID.) EA ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 30.00 PERMITFEE $ 50.00 Contractor WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the Performance of the work for which this permit is issued. 0 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier S T7� Cast/! MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number t-2 -(4— (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fo h' wwithh ccom 1 with those provisions. a3 X A-�—� -- __ Date � � � — Signature of Applicant - ❑ Owner ontractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee Is Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 299.00 H: D. FEES IMP LOOD CDF I PARCEL PO HD ISS This permit is hereby issued under in the Butte County Code an /a indicated ab for w h f have BY PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. Date S 2 171/ q (Date) Receipt No. 195224 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COU,NTYOF BUTTE - DEPARTMEN O,FDEk_EWMENTSERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROt/ILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER. A P. No.cgZ Proposed Building Use Bui ding Inspector el7l. Date '4-.13 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items,have been submitted . ................ ......... . ............... 2. Plot plans, 3/4 sets, signed by preparer of plans . ......................... . 3. Complete plans, 3/4 sets, signed by preparer of plans . ..................... . 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . ............................................ 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ....:................ . 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........... :.............................. 11: Impact fees as 'shown on attached schedule . .............................. 12. California Department of Forestry plan approval/fees. .......................... . 13. Flood elevation letter (100 year flo by California Engineer . ............:::.. �v 14. Sanitation and plot plan approval Health Department: . 15. City of Chico plumbing permit . ........................................... 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ......... 18. Contact Land Development about (A) Improvements (B) Drainage ............. 19. Driveway permit (construction approval required prior to occupancy). . . 20. Pre -inspection for required. .. o Building o�eao�' (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. . 22. Certificate of Workmans Compensation Insurance . .......................... F 23. Owner -Builder Verification (Given to owner , Mail to owner _) ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:.......... ...................... 29. Docu-ehentation of legal access . ..................... :............... .... . 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ....: . 31. Existing violations/expired permits . .................................. , 32. Plan check list. 33. 34. W you issue the per r --ass as follows: M +,I o owner. Mail to contractor. Telephone.' `f� and hold for pickup at office. Deliver with inspector. Other Parcel Creation q/f 3 9� Acreage Applicant Date (( Copy of Haz-Mat form sent Health Dept. Fire Dept.. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submittedio to permit issuance: (Circle new item not checked above). 1. Index permit for above items No, 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter y _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works E.H. USE ONLY Plot Plan amohed 5 Floor Plan A- faid I Smt to B.D. TO: Building Department 6 FROM: Environmental Health SUBJECT: Sanitation Clearance i Thn /2-030.89 Owner Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Clearance for bedroom mobile home. Other 36 SGvlm X400 / Hold final for: Final clearance O.K. for: NOTE: nvironmen6 Health S alist Date 8/92 kkN COUNTY OF BUTTE BUILDING DIVISION., DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE [-4-14.4 -683 OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediately. 92&4'h2S /V 50 lazdgAe,,� CSG 28uov0 0 2 Fo,#io v & z-�Ld Tl wi Io GLoc 6, CU1171L n hd/J If-20At f o Dzte 1 ' p --I (,'? Inspector REV 10/92 COUNTY OF BUTTE BUILDING DIVISIQN . =~ DEPARTMENT OF DEVELOPMENT SERVICES a -a:• EN 1469 Humboldt Road, Chico, CA - (916) 891-2751 .. 7 County Center Drive, Oroville, CA - (916) 538-7541 rte.._. 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact this office immediate7'/0 2(&u r' I tkv s a 6619® 0 %, s /arc) f2riCv2o v-47 j-e(z-C vest-% iA,_.syQAV,4o Date `IV/ Inspector REV 10/92 42-030-088 PERMIT#96-1054 LATHAN, John 26 Bell Ct., Chico Change LPG to Natural Gas/SF OFFICE COPY [GAS dress ter By DateECTRIC ter By Date COUNTY OF BUTTE- DEPARTMEtl1 VELOPMENT SERVICES - BUILDING DIV -Sfi0 7 -County Center Drive - Oroville, California 95965 - Telephone (916) 538- 1 PERMIT NO. APPLICATION AND PERMIT - In ASSESSOR PARCEL NUMBER 042- ZONING fp1 BUILDING PERMIT OWNER 'TO" TATHAM TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS RT, CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNIwOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MPJUNG ADDRESS Permit Fee $ ARCHITECT OR ENGINEER UCENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 26 B&L CT PERMITFEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDNISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFX❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1-- 5 outlets 15.00 Building sewer , 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: " CHANGE P�4 X LPG TO NA'ifiiiAL — Mobile Home 1SI GI W1 920.00 PERMITFEE $ � Contractor ELECTRICAL PERMIT Filina Fee 20.'00 Main Service / OOOV OR LES zooA OR LEsSs ) 23.00 ain Service ( 200A TO I000A ) 46.00 -- -- LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury. that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, __ and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty o_f perjury that I am exemptfromthe Contractors License Law for the following reason: •a,,,- , % I, as owner of the property, or my employees with wages as their sole compensation; �— will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors. to construct the project. I ❑ 1 am exempt under Sec. „Business and Professions Code for this --reason - WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain'workers' compensation -insurance, as required by Section 3700 of the Labor, Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier NEW CONST. DWELLING OCCUP. -.SD. OR ADONs. ( a ACC. ) 3.5¢ F7. NEW CONST. / MULTI-OUTLET NON-RESID. ( BRANCH CIRCUITS -) @7.50 ( POWER APPARATUS ) _ 8 SINGLE OUTLET CIR: Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00 sAL Ex. Occup. ( OUTLETS APPLN . ERA) 5.00 1 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE S Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) �I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation proy.sions of section 3700 of the Labor Code, I shall forth�wth comply with those'provisions. /�/ C%/ 5A//W X/ `�/� Date / / / /J�C� _ u"' f A" licarit - dr Owne�ontractor ❑ Agent/ Slgnat re o pp g % An OSHA permit is required for excavations over 50" deep and demolition or construction `of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 35.00 HAZ. I D. FEES IMP I FLOOD CDF PARCEL PD I HD I ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. By —Date %1 t�/ "/,, � PERMITEXPIRESON / -/ 7 (Date) `� Receipt No. / �yQ/ WHITE-D.D.S.-R.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT:OF DEVE OPMENT SERVICES - 7 County Center Drive - Orovti%,-Canfornia 95965 - Telephone APPLICATION AND PERMIT BUILDING DIV ON (916) 538- 41 6 In PERMIT NO. ASSESSOR PARCEL NUMBER 049—n3o—o88 ZONING SRI BUILbING PERMIT OWNER -1014N T-AT14AN TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAIUNG ADDRESS Fireplace CONSTRUCTION LENDER UNIWOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMITFEE $ PLUMBINGPERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 Water piping 15.00 USEOFSTRUCTURE SFX3 Duplex ❑ Mobilehome ❑ Other SPECIFY Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 _[_S TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CHANGE FROM LPG TO NATURAL GAS — Mobile Home TG W @20.00 PERMITFEE $ 35.00 Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service a OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors Liense Law for the following reason: 1 I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP. SO. OR ADONS. ( 8 ACC. BUDS. ) 3.5Q FT. NEW CONST. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL 0 .SO Ex. Occup. (oFIXEED PES D.OR ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 9 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' ompensation pro ' ions of section 3700 of the Labor Code, I shall f ith ly with th rovisi S. X Date — Sign,KrVof )EI' - w er ontractor ❑ Agent/ OSHA permit is required for excavations over 5'0" deep and demolition or constructionZ.Ay�-.Daof structures over 3stories in height.BYpte Mobile Home Installation Fee Is Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE a 35.00 HAZ. 1 D. FEES I IMP I FLOOD COF PARCEL PD HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work indicated above for which fees have been paid. p PERMITEXPIRESON S �LlP7 (Date) Receipt No. `y-3 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT j G PERMIT NO. 4517-79B PERMIT EXPIRES 725/80 OWNER MIKE LATHAN 1 CONTR. oumer LOCATION (A.P. 42-03-6 ) SW cor Bell & Cussick Rd, Chico v t L Temp. Power P fe Called P &E Temp. Ele Serv. Call d PG&E Temp Gas Serv. ailed PG&E OB FINALED (Dates (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD 'BUILDING - BUILDING (Cont'd) PLUMBING Setback - Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaI i Sidina To out Slab r Roof Sheathing Water Piping Piers Roofing a — p Sewer Garage Fdn. Vents Fixtures Footings Stemwal l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Pi Ina &Test Temp. Gas Slab Final Sanitation Patio F REPLACE Final Footings Footing ELEC RICAL Masonry Walls Throat Rou h Reinf. Steel Finni ro......e� tsona weam FIRE SPFONKLERS Motors Framing Test Water Htr. ' Stucco Final Subpanels Mesh MEJAANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - -.- - - - • - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE T `X�/�I� 11A11,5:aot Jr /��llgi v£ REMARKS OR CORRECTIONS / / / /�/e—O✓6,4 /70,04£ •— /,UC> /GC t .0.0i V64 �E,C.4l I�U r/,6 11,Z 61) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - OroviIIe, California 95965 i Telephone: 534-4541 �/��� � �•�l APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspectigp purposes. I /71 V i X ✓L� Date —�� ature of Permit.or Agent Receipt No. �s(, Z, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D CT R OF PUBLIC WORKS By Date _7 Building permitl[ehCpires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION '11Z Mailing Address )or G� Tele hone o. Z Contractor OeJ Mailing Address Fireplace Total Valuation 30 Telephone No. Permit Fee Building Address _ Plan Checking Fee&/or Penalty Permit Fee G(.l� Gni PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. U 7-- ZoniRg'8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F es �V�! Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans I ParcelEach I Declaration Parcel Map 1 60' R/W Improvements additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ UJ 174 85 ELECTRICAL No. @ FEE PERMIT FILING FEE $3,00 Main service 600V OR LESS 100 AMP OR LESS 5•QD Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER e00v 25.00 100 AMP OR LESS Main service/ EA. ADD•L 100 AMP 1.00 ORWCONSTADDNS. \ ACCDWELBLOGS.LING CC UP. 51) 20sg It CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. % BRANJMULTCH CII T 1 NON•RESID `BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS 6 NON•RESID. SINGLE OUTLET CIR, Ex. Occuo(OUTLETS OR FIXTIIRES 5 L� FIXED APPLNS, OR Ex. Occup. (OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 • I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this eo permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE J$3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE $ f authorize representatives of the County of Butte to enter upon the above-mentioned property for inspectigp purposes. I /71 V i X ✓L� Date —�� ature of Permit.or Agent Receipt No. �s(, Z, White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. D CT R OF PUBLIC WORKS By Date _7 Building permitl[ehCpires Date t • �'�--ate � r� i �t at PERMIT NUMBER _ .B 128-74B,E 1� P E J PERMIT EXPIRES ��-175— 1 a OWNER lPrancis, Bridgeman CONTR: Owner d LOCATION (A.P. 42-3-6 r� S/W corner of Cussick & Bell, Chicb r Y Ao ' F I t ' f ` I r 1 7 3 COUNTY OF BUTTE Department of Public Works i BUILDING, INSPECTION RECORD Zoning Setback �' - Forms _ %' 7-3- Foundation Piers & Girders - - Fireplace Rgh. Plumbing Bond Beam `-- Lath & Pl_y aster Rein. Steel _ - Gas Piping & Test . Found. Vents--------, Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent r Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE i REMARKS OR CORRECTIONS -4.0 - 7 ��G������/�% d -c dl G c4r�G / J�/i�� f/'`✓���jCI �C! J ��'G a rI/EW QCN'✓ �,i�. �AGF'� �!i �/ ..�/i"Fif./, ���� /Nl.(� Q/zl�l Alai ' N���•�. CYDN �. �7` b .iG�/O ���d� Gc��P >!/D d_���i,ror�l �o /�f`J�E� ��G'�zd's£. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC W S 7 County Center Drive — Oroville, California 95965 Tel ephong: 534-4541 APPLICATION AND PERMIT .. r�..ov�i.uii vca v. .no County of Butte to enter upon me above-mentioned property for inspection purposes. ' Date Signat of Permitee or gent Receipt No. f%-3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee aid. DIRECTOR F UBLIC WORKS By ate llding permit expires Date ...... 1:-.4....7( .............. BUILDING Owner fT SQ. FT. OCC. BUILDING VALUATION Mailing AddressAl A 49LF 2� 7 02hr'� 1.3#Te eph ne N�n� ��// Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Building Address s PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 / �! t Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fes )Bf Ston Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements provements Lawn sprinkler system 2.00 Bldg. Plaa4lfec'd I Parcel rovaI PI ans4f—provaI Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ &/VFW 4t Main service incl. 1 meter Additional meters, each 1.00 Single Family J4 Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven ' 1.00 Water Heater or Space Heater 1.00 Light fixtures bal�dio Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code -under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.Misc. Classification wiring �(IAJ I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ 1 have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this k permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby autin ri � ... �.: ..I ♦L.. TOTAL PERMITI FEE $ .. r�..ov�i.uii vca v. .no County of Butte to enter upon me above-mentioned property for inspection purposes. ' Date Signat of Permitee or gent Receipt No. f%-3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have bee aid. DIRECTOR F UBLIC WORKS By ate llding permit expires Date ...... 1:-.4....7( .............. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT I -1/a8 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. to - 6- Signature J)ofL,Permitee or Age Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.,fUBLIC WORKS ����Bulrmg Date lr1, jRetmtit expires Date � : �,f— � J BUILDING OwnerSO. Eeana1 FT. OCC. BUILDING VALUATION Mailing Address G I130 /__ Co 11 a Telephone No. R IS F i repl ace Contractor - Total Valuation661.- ---- Mailing AddressPermit Fee Plai Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 f _ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 47—— Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s W.C. ��Z !Q ' atj Fire Dept. Fire Zone Use Permit Building sewer 5.00 0 EOA Parking arcel Plans Declaration Parcel Ma P 60' R/W ImprovementsLawn sprinkler system 2.00 Bldg. Plans l0eed PI pproval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER © ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 _ Main service incl. 1 meter O� Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixturespal dio Re s., swi5ches & fix o tletsIb-01 010 ( o�`J �j CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temo. Power Pole 5.00 License No. Classification Misc. wiring I am exempt from the Contractors License Laws of the State of California. Permit Fee $ (' WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. 11 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby I MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation J2.00 Hood Permit Fee $ $ TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. to - 6- Signature J)ofL,Permitee or Age Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF.,fUBLIC WORKS ����Bulrmg Date lr1, jRetmtit expires Date � : �,f— � J r j4 A€€®F i Ail ma,erla s rv; i W @ CWility &ice witi R AEtib� cog d f'f= ik.e th@ G Spelf ®d pre Ufjif@F AWildihe e, It i 6F�i Pl' mb 010 N tim I E oFI 1 d@, I keprhis st t on o (the I plans an b at all times d s i P cifical ions MU; matte ani, changes 1ermis� or af#erati ind it l ns o� is u law writteri .Works;* . P 4ounb, on fi om the of gufio DI partment same wi lof F Sh 11 in :act cob 4nd I U0 In th@ be to BUT --E OU TY IUILDIN13 DPA TM APPROVE MEN 9", 511MM InvrjpFM1 I - f 3 19 ell t c A Tj 44 -:4c, a ` U r ` �—� --- s e A'. 0 o r W all pV g C 14 `. ru I 1 tv ilk a ---- � V i ytJ�,j ,kt-8c6Y�TD _JL I II f ;G ' 1 � I � � t-, 7, � �f � � I I -- . ---- - t� •o , :',1 _ �I �. .. � I t - it . � -'; � h I � �. � t-, ( .� . � � I I -- . ---- - t� •o , _ �I .. � I t - h ! Iy S 't r ' _i, C 1 �� ' I I � r � ., , ,�I , _ __ II f yY •• + �•l � 3 r � % 1 1 _ � ` `�I, �I ,# . +� II II I �: I� it ' w � I) r A AL 46. - I I r r - fA rn Jv I Cb -T A �� _Zt i. v ll!i -dot _Zt v ll!i �G O .rna AI ■ 11 1 � 1 • �i o N � Jto 1 1• y M `C i � c �G O .rna AI ■ 11 1 � 1 • �i 1 i i Y :i - 1 .1 24 cI t 1 i 1 Ah Y - 1 24 cI t 1 Y - 1 cI r C1 4, -0 ! * a .00 Sia .40 3 iyn, t �...��- _. _ • — .. .� ,,fit �wnsn.. �. . t <� - a